Tag Archives: lva

Friday, January 12 2018 Trends and Changes in 2018 for HHS, Audit Focus, 340B, Coding, Case Management …Or… Can we get back to providing care more, please? From a report in 2008, but hey, has it changed much in the … Continue reading →

Articles from Academy Blog

“Scope Creep” in Appeals is Dead CMS has instructed MACs and QICs to limit their review to the reason(s) the claim or line item at issue was initially denied. For redeterminations and reconsiderations of claims denied following a complex prepayment review, a complex post-payment review, or an automated post-payment review by a contractor, Limiting the scope of review on redeterminations and reconsiderations of certain claims. MLN Matters Number SE1521.